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Home My WebLink About18ft Above Ground Pool 2002 Town of Montville Building Department Date 6 / S /o Z Field Inspection Notice Permit # Job Location /z/Z- 7'Al2J-c AVS di Approved Type of Inspection pp m p Fey � LEG 1ZgJN2��c�l' Not Approved - Please call for re-inspection when the following corrections have been completed: is is Building Official 411. Town of Montville 0 Building Department Date W lit Qa Field Inspection Notice Permit # Job Location / 7 14-90.Ai_...- 612.e." c"' ' / t 1 _, Approved Type of Inspection ,/,ll'.. jil /_ .2 Not Approved - Please call for re-inspection when the following corrections have been completed: ATE : DK 723 //e&k /et.- —7,---,(A/CH — Zaie/r9 4- i.ji/rr.. D k — .fr fO (� `..r Dic- "i 45e-,e5 FC to Xn- EMT' Dec., S?j/4/ �O ev/Jc//T C 7,7' AV-5 9- ?` (st(-r P7. loc470)1) Building •fficial all Town of Montville Building Department lipr Date 7 /ac/_e),,,? Field Inspection Notice Permit # 4,7ae;it? —/ Job Location / 02 fit, y-71( /11 ' , l ' 110P ' '4pproved Type of Inspection Not Approved - Please call for re-inspection when the following corrections have been completed: Building Official Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 860-848-3030, Ex.t 82 Building Permit Permit Number: B2002-159 Permit Date: 12-Apr-02 Permit Code R8 Job Location: 142 PARK AVENUE EXTENSION UNIT: - MAP/LOT: 096/086-000 Job Description: Above Ground Pool&Deck Owner Contractor WILLIAM E J +CYNTHIA L MAHN J. P.Services/John Poulis P.0. Box 281 142 PARK AVE EXT Unit: - Uncasville,Ct.06382 UNCASVILLE CT 06382 Telephone: 887-8913 Lic/Reg Type: HIC Use Group R4 Lic/Reg Number: 566512 Code 1995 CABO Exp Date: 11/30/02 Construction Type 5B Construction Values Permit Fees Building Value: $7,100.00 Building Fee: $46.00 Plumbing Value: $0.00 Plumbing Fee: $0.00 Mechanical Value: $0.00 Mechanical Fee: $0.00 Electrical Value: $250.00 Electrical Fee: $10.00 Other Value: $0.00 Other Fee: $0.00 Total Value: $7,350.00 C/O Fee: $10.00 Comments: Plan Review Fee: $4.60 State Ed Fee: $1.18 Total Fees: $71.78 It is the owners responsibility to schedule the following reauired inspections(minimum 48 hours notice reauested): • Footing-Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab-Prior to pouring ❑ Fireplace Final O Rough Framing ❑ Chimney-One flue above thimble ❑d Rough Electrical ❑ Firestopping/draftstopping ❑ Electrical Service ❑ Insulation ❑ Rough Plumbing and Leak Test • Final Inspection ❑ Gas Piping and Pressure Test 0 Certifi ,., cy-Prior to use or occupancy Building Official's Signature: Town of Montville AC? Building Department Permit 310 Norwich-New London Tpke. Tel. 848-7166,Ext 81 Uncasville, CT 06382 Fax. 848-7231 One& Two Family Building Permit Application Foi ❑New Construction Addition ❑Alteration ®Accessory Structure NLev pi A1?1.1 ['Other y/'//01?...- Job Location )9 )(Lr K L(yy S U I Job Description/Materials A h We C"Yrour-J Poo I i e C" Owner W Cy N-rH-1 Fl 1v1#f10 Mailing Address I `{a per lc Axe • . City nit-63011e State CT Zip CX, 3g 2 Tel C•,a/ Py b'/ Da c, Contractor 3-4• 5+'v I CrS Mailing Address ' , a ! j ' City JLti ( V1 I I Ie__ State(---( Zip Tel / gcrr]/ SC1 13 Contractor's License/Registration Type&Number 519,VI a164 0P- t xp Date I I / 3o / &1 I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. Owner/Agent Signature dtta- t a Date 3 / ) 1 / 001 Construction Value Fee Building $ Plumbing $ $ Mechanical $ $ Electrical $ $ Other $ $ Certificate of Occupancy $ Plan Review Fee $ State Education $ Total S S 7/.)? STATE OF CONNECTICUT WORKERS''COMPENSATION COMMISSION Buildin: Permit Affidavit for Pro.e Owners or Sole Pro.rietors (Conn.Gen. Stat § 31-286b) Property located at y 6 • n lk In the town of (t., I Name of building permit applicant et-IA I G Nika.11n Please check o e: I. I am the owner of the above property. 2. I am the sole proprietor of a business- _2A_Name of business 2B.Federal Employer Identification Number Pursuant to §3 I-286b,"a -"'-"-""- property owner or sole cr" proprietor[who] intends to act as a general contractor or principal employ may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit_.. stating that he will compensation insurance for all those employed on thejob site in��proof of workers accordance with this chapter." Please check ogre: 1. I do not intend to act as a general contractor or principal employer. [Sign and stop here] - 4 ere- tY161.440, Siture of applicant 2. I intend to act as a general contractor orrinci 1 provide a certificate of workers'compensationp � employer.Applicant must either below. insurance or sign the affidavit Affidavit I hereby swear and attest that I will require proof workers'comp contractor,subcontractor, or other worker before he/she engagesin kon abov for every accordance with the Workers'Com work on the about property in Compensation Act(Chapter 568). I understand that pursuant to §31-275 C.G.S., officers of a co partnership may elect to be excluded from coverage by filingwaiveron and the appropriates in a District Office; and that a sole proprietor of a business is not iwith the files his intent to accept coverage fired to have coverage unless he Signature of applicant Subscribed and sworn to before me this day of ,200 (Notary Public./Commissioner of the Superior Court) Town of Montville Building Department 848-7166, Ext 81 ONE & TWO FAMILY CONSTRUCTION PERMIT SIGN-OFF SHEET Property Address Job Description: i LJ) Paitx Ate it bc-e e nd f- oo I The owner/agent shall be responsible for the completion of the form, no construction permit will be issued until all signatures below have been obtained. ?<-HEALTH DISTRICT Ai:23-1189 ❑ Permit#: '.t • ..licable Septic System Date ❑ Permit#: No Applicable Private Well Date WPCA DEPARTMENT 848-7094, Ext 86 3/Ic// ❑ Permit#: Z1, Not Applicable Municipal Sewer Date ❑ Permit # ❑ Not Applicable Municipal Water Date DEPARTMENT OF PU$LIC WORKS 848-7473 A l � ❑ Permit#: tKr 'd of Applicable Director Date PLANNING& ONING DEPARTMENT 848-8549,Eat 7 At) 3 ) v- ❑ Permit#: 2 Not Applicable Zoning Date ❑ Permit#: Not Applicable Inland-Wetlands Date Swimming Pool-Alarm Affidavit (Date 3 / I '1 /d 3- Owner e yhi'a w I L L I6)11 611 N&) %fairing Address PO, Pair t. u 2 1 lA✓1CeisvLt 0o3e232 Location of property 3 Ce-A.4 I, 4Inc,1u-- , owner/owners agent of the above rferenccdpr-operty, hereby swear arid attest that I am aware of the requirement for a poofafarm to be installed in the pool to 6e constructed-at the above referenecedproperty. (Further, I am aware that the alarm must 6e instated andfunctioning at the time of the final(Certificate of Occupancy)inspection for the poor (1,1at.„ ( ) / 0 - -- (ate) (Notary,Commissioner of t&Superior Court, Subscribed and'sworn to before me Justice of the Peace)this day,of Melinda L Robert Notary Public Commissign Expires Oct.31,2002 Date Commission�F�rresJ / Inspected and Operational / / Building Official t Town of Montville Building Department Receipt 4;) Date y / / / c9-Z_ No. ti 1 From: l%YNrffi, _______m___ ___ _ — Job _1 -- Job Address: byPAc AV _ ? 4 Amount $ 7 / ?� Cash ` llio .#1.3.2_Chcck # �_ ((ircic one Received by , 5—c/h.,' r*��f — -- Permit # Zooms_ f` r Permit Fee Calculation Spreadsheet MISCELLANEOUS PERMIT CALCULATION Pools&Spas Above Ground Round EA S 3,000.00 $ Above Ground Oval 1 EA $ 5,000.00 $ 5,000.00 In-Ground EA $ 18,000.00 $ - Heater EA $ 3,300.00 $ - Hot Tub EA $ 5,000.00 $ - Roofing Strip&Reroof SQ $ 210.00 $ - Overlay SQ $ 175.00 $ - Sheds With Electric SF $ 25.00 $ - No Electric SF $ 25.00 $ _ Deck 140 SF $ 15.00 $ 2,100.00 Porch SF $ 23.00 $ - TOTAL BUILDING CONSTRUCTION COST $ 7,100.00 PERMIT FEE Building S 7.100 $ 46.00 Mechanical S - $ - Electrical S 250 $ 10.00 $ - $ - CO Fee $ 10.00 Plan Review $ 4.60 State Ed Fee S 7,350 $ 1.18 Total Fees $ 71.78 Based on 2000 Average Construction Cost 4/1/02 STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HOME IMPROVEMENT CONTRACTOR JOHN POULIS 6 PRINCESS ST NORWICH,CT 06360 DBA:JP SERVICE LAWN CARE LIC./REG NO. EFFECTIVE EXPIRES 566512 03/06/2002 11/30/2002 SIGNED JLIN-06-,.2001 02 :Z'v, sn1..it-..: r.I...4.-.ci .r. I....,G.S..,J , ................. • .4. j . 1.,UPKAS ENGINEERING ASSOCIATES Raymond R. Lupkas P.E._ Consulting Engineers 54 MT PLEASANT DR TRUMBULL CT 06611-3441 203-2611-4I38 FAX 2o3-268-4131 BY'.le...?.tWUNP,...4_-_‘49:45_DATE. ?ei+1,/ CHICD ay________---SHEET..1_0F r.r SUBJECT. - 0... • JOB NO _________ —_—__--..._______—_................-----....—__..•••, .....•••..........-......... . . . . • • .03114(6)en*15eSIQ • C44C.0,/1/477.0Vn i•t- . .. . . . , . , . . . . .. . . . I_ E X C E L 52 " ,t, „• „ . . 0 .,,,,,, . . . . e.V.r #400 . . . . . POr41-4 c../ii•c., Akpc,. ________.,. . . . . .. 2V.Ploarif75 ViOkL4-,40.u.la in • , I ., „...„. i./ . -.. e:e , is, „czn. re 1--,404:: ' ' .4;t:.6”. - • ' -.4.7.-:.-4.° ' .'.- 47.113 ' ,. . Sz.' / 3 43 1.14 , . .94.1:r gc4-74Y7 . .- sts ft: . 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TRUMBULL CT 06611-3441 203-268-4138 FAX 2M-268-4138 BY: RAYrsinus 1-44PAs45 DATE:4M/0 CHILD BY SHEET if OF IS SUBJECT7 Tit$61.1e tcitoc-3 Mt C, 4--ealc CO" 2-4.. JOB NO. _ — ) -- . . . . . . . Adishoh 1)4st.t.'"'s..........9......_z,"3/./ .4.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 1 " 4" v AI X ra i It -rw.- 41# . . . . . . . . . ni ( .1/44 . . . . . S re 1' f• $7., ev - . • . 4 1. i . . . . . . . 463i Alai 2/11 - r . . . . . . : . . . . . . . . . . . . . . . . . . t .15 Alk-e+t:L • • • • • • • . . . . • I . . • • • . " • 41.'1 r.t.'-‘,1'. . t, . . . . . . . . (StAtift b 43 i 1. _ .!..Vic0.0i1/4 Z7451.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1..I .1". f39.40. , . . . - . - — • - - - - • • - 1 tv ! f7t 7•7.ar, . . . . . . . • et.7,_,t,w' ...-i---:-. . . . i . ------------ , -.wall .4:. ofe\r_ Z -- - - - . . 4 71. 40 . -....)= ' /7C5f.9 .0 'a- /1' 104, t. ...5.( <Ott" . . . . 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